Management of respiratory failure in obese patients. Efficiency of nasal bi-level positive airway pressure.

Rabec, C; Merati, M; Baudouin, N; Foucher, P; Ulukavac, TANSU; Reybet-Degat, O

Management of respiratory failure in obese patients. Efficiency of nasal bi-level positive airway pressure.

Rabec C., Merati M., Baudouin N., Foucher P., Ulukavac T., Reybet-Degat O.

REVUE DES MALADIES RESPIRATOIRES, cilt.15, sa.3, ss.269-278, 1998 (SCI-Expanded, Scopus)

Yayın Türü: Makale / Tam Makale
Cilt numarası: 15 Sayı: 3
Basım Tarihi: 1998
Dergi Adı: REVUE DES MALADIES RESPIRATOIRES
Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
Sayfa Sayıları: ss.269-278
Anahtar Kelimeler: obesity, acute respiratory failure, nasal bi-level positive airway pressure, OBSTRUCTIVE SLEEP-APNEA, PULMONARY-DISEASE, NONINVASIVE VENTILATION, MECHANICAL VENTILATION, BODY VENTILATORS, MASK VENTILATION, HYPERCAPNIA, HYPOVENTILATION, EXACERBATIONS, HYPERTENSION
Gazi Üniversitesi Adresli: Hayır

Özet

Obstructive Sleep Apnea (OSA), Obesity-Linked Hypoventilation (OLH) - a hypoventilation which is independent of apneas and increased by sleep -, and COPD are mechanisms for respiratory failure in obese patients. We thought nasal bi-level positive airway pressure to be a suitable treatment : EPAP is useful to maintain upper airway patency and IPAP-EPAP difference to correct OLH and COPD hypoventilation. Our purpose is to report the results of such a therapeutic approach.